Author(s): Li Qiuxia, The Third Affiliated Hospital of Nanyang Medical College of Henan Province
Pages: 56+58
Year: 2015 Issue:  14
Journal: Chinese Community Doctors
Keyword:  Cervical intraepithelial neoplasia; Loop electrosurgical excision procedure; Discussion;
Abstract: Objective:To explore the clinical value of biopsy under colposcopy plus the cervical canal curettage and loop electrosurgical excision procedure in the diagnosis of cervical intraepithelial neoplasia.Methods:320 patients treated with LEEP were selected from January 2013 to August 2014.Before LEEP treatment,all patients were given biopsy under colposcopy and cervical canal curettage check.Results:Diagnosis of 209 cases with biopsy under colposcopy and cervical canal curettage was chronic cervicitis,diagnosis of 283 cases with pathology after LEEP operation was chronic cervicitis,the diagnostic accordance rate was 73.8%;diagnosis of 25 cases with biopsy under colposcopy and cervical canal curettage was cervical polyp,diagnosis of26 cases with pathology after LEEP operation was cervical polyp,the diagnostic accordance rate was 96.2%;diagnosis of 15 cases with biopsy under colposcopy and cervical canal curettage was cervical condyloma,7 cases were misdiagnosis;diagnosis of 133 cases was CIN Ⅰ,77 cases were misdiagnosis;diagnosis of CIN Ⅰ to Ⅱ was in 13 patients,2 cases were misdiagnosis;diagnosis of CIN Ⅱ was in 70 patients,the diagnostic accordance rate was 94.6%;the diagnosis of 5 cases was CIN Ⅱ to Ⅲ,diagnostic accordance rate was 41.7%.Conclusion:The accurate rate of biopsy under colposcopy plus the cervical canal curettage in the diagnosis of cervical intraepithelial neoplasia was higher,but there were some limitations.